RILEY ALYSE BROTAN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146016594

License Status

NOT RENEWED

Business

First Name

RILEY

Middle

ALYSE

Last Name

BROTAN

Business Name

RILEY ALYSE BROTAN

Original Issue Date

06/30/2022

Effective Date

06/30/2022

Expiration Date

10/31/2023

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

03/28/2024